Debra Willardson in Slc - Specialist/technologist, Other
Debra Willardson - NPI 1467513713
Debra Willardson is a Specialist/technologist, Other in Slc, Utah. Debra Willardson practices all healthcare services and medical treatments related to Specialist/technologist, Other. The NPI Number for Debra Willardson is 1467513713. The last update date is 2007-07-08.
Debra Willardson's current location address is 1825 E South Campus Dr, Slc, Utah. You can contact this provider via phone number 8015814836 and fax number 8015855005. The mailing address for Debra Willardson is 1825 E South Campus Dr, Slc, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Willardson |
|---|---|
| Address | 1825 E South Campus Dr, Slc, Utah |
| Phone Number | 8015814836 |
| Fax Number | 8015855005 |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1467513713 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1825 E South Campus Dr |
|---|---|
| City | Slc |
| State | Utah (UT) |
| Post Code | 841120900 |
| Phone Number | 8015814836 |
| Fax Number | 8015855005 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist, Other |
|---|---|
| Taxonomy | 246Z00000X |
| Licence No | 1216584810 |
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Definition: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2255A2300X | UT | ATHLETIC TRAINER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Debra Willardson by the Centers for Medicare & Medicaid Services?
The Debra Willardson has been assigned the NPI (National Provider Identifier) 1467513713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Debra Willardson?
The Debra Willardson is situated at 1825 E South Campus Dr, in the city of Slc, state of UT, with the zip code 841120900.
What is Debra Willardson's area of expertise and its corresponding taxonomy classification?
The Debra Willardson's field of specialization is Specialist/technologist, Other, and it falls under the taxonomy code 246Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467513713 to Debra Willardson?
The Centers for Medicare & Medicaid Services originally issued the 1467513713 to Debra Willardson on 2006-12-12.
When was the information related to Debra Willardson most recently updated or refreshed?
The details pertaining to the Debra Willardson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.